| NPI | 1912167099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY MARIE SMITH CEO 928-783-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6323) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-08-11 |